Clinical intensive care medicine:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
London
Imperial College Press
2015
|
| Schriftenreihe: | Introductory series in medicine
1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | XXXVI, 943 S. Ill., graph. Darst. |
| ISBN: | 1848163886 9781848163881 |
Internformat
MARC
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| 245 | 1 | 0 | |a Clinical intensive care medicine |c Ed. Carlos M. H. Gomez |
| 264 | 1 | |a London |b Imperial College Press |c 2015 | |
| 300 | |a XXXVI, 943 S. |b Ill., graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
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| 490 | 1 | |a Introductory series in medicine |v 1 | |
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| 776 | 0 | 8 | |i Erscheint auch als |n Online-Ausgabe |z 978-1-84816-389-8 |
| 830 | 0 | |a Introductory series in medicine |v 1 |w (DE-604)BV040312110 |9 1 | |
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| 856 | 4 | 2 | |m Digitalisierung UB Regensburg - ADAM Catalogue Enrichment |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025166898&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |3 Klappentext |
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Datensatz im Suchindex
| _version_ | 1804149334635184128 |
|---|---|
| adam_text | Contents
Foreword from the Series Editor
xix
Foreword
xxi
Preface
xxiii
List of Authors
xxvii
L
History of Intensive Care
1
Jennifer Jones
References
6
2
Cardiovascular Physiology
9
Ian Webb and David Treacher
2.1
Introduction
9
2.2
The Cardiac Cycle
10
2.3
Ventricular Performance and the Determinants
of Cardiac Output
16
2.4
Coronary Blood Flow
26
2.5
Peripheral Circulation
30
2.6
The Microcirculation
34
2.7
Clinical Case
36
References
38
VII
3
Respiratory
Physiology
Nicholas Lees and Neil
Soni
3.1
Introduction
3.2
Regulation of Respiration
3.3
Mechanics of Ventilation
3.4
Work of Breathing
3.5
Ventilation-Perfusion
3.6
Carbon Dioxide and Interpretation of
Expired Alveolar Gas
3.7
Blood Gases
3.8
Physiological Effects of Positive-Pressure Ventilation
viii
Contents
41
41
41
45
46
49
55
56
57
References
63
4
Cellular Physiology in Critical Care
71
David Brealey and David Howell
4.1
Oxygen Delivery and Cellular Utilisation
71
4.2
Cell Death in Critical Care
83
4.3
Conclusion
87
4.4
Clinical Scenario
87
References
90
5
Cardiovascular Monitoring
93
Par
ind
Patel
5.1
Purpose of Monitoring
93
5.2
Clinical Examination and Non-Invasive Monitoring
94
5.3
Pulse Oximetry
95
5.4
Venous Saturations
96
5.5
Pulmonary Artery Flotation Catheter
97
5.6
Pulse Contour Analysis
99
5.7
Oesophageal
Doppler
101
5.8
Echocardiography
103
5.9
Current Approach to Monitoring the Critically 111 Patient
104
5.10
Clinical Case
106
References
108
Contents ix
6
Vaso active
Agents
113
Gayathri Satkurunath,
Raha Rahman West
and Andrew Rhodes
6.1
Definitions
113
6.2
The Pressure versus Flow Dilemma
113
6.3
Tissue Oxygen Consumption and Supply
114
6.4
Vasodilators: Rationale and Current Treatments
117
6.5
Vasoconstrictors: Rationale and Current Agents
121
6.6
Cardiac Output: Advantages and Disadvantages
of Pharmacological Augmentation
126
6.7
A Rational Evidence-Based Approach to Inotropes
129
6.8
Clinical Case
130
References
131
7
Mechanical Ventilation
137
Amisha V. Barochia, Charles Natanson and Peter Q.
Eichacker
7.1
Overview
137
7.2
Acute Lung Injury (ALI)/Acute Respiratory Distress
Syndrome (ARDS)
137
7.3
Asthma
146
7.4
Chronic Obstructive Pulmonary Disease
153
7.5
Weaning
157
7.6
Clinical Case
160
References
162
8
Non-
Invasive Ventilation
179
Borja
G.
Cosío
and
José M. Echave Sustaeta
8.1
Principles of Non-Invasive Ventilation
179
8.2
Procedures in Non-Invasive
Ventilation
181
8.3
Modes and Equipment
186
8.4
Special Indications
188
8.5
Summary
199
References
200
x
Contents
9
Nutrition
205
Richard
Leonard
9.1
Introduction
205
9.2
Why do we Feed Patients in Intensive Care?
206
9.3
Which Patients Need to be Fed?
208
9.4
When Should Feeding Start?
208
9.5
How Much Feed Should Critically 111 Patients Receive?
209
9.6
Which Route Should be Used to Feed ICU Patients?
211
9.7
What Should the Feed Contain?
220
References
223
10
Microbiology and Infection Control
229
Annette Jepson
10.1
Introduction
229
10.2
Pathophysiology of ICU-Acquired Infections
229
10.3
Implicated Organisms
230
10.4
Specific
Nosocomial
Infections
231
10.5
Investigations
237
10.6
Antimicrobial Therapy on the ICU
238
References
248
11
Radiological Imaging in Intensive Care
253
Kanupriya Agrawal and Andrew R. Wright
11.1
Introduction
253
11.2
The Chest Radiograph
254
11.3
Ultrasound
266
11.4
Cranial Imaging in the ICU Patient
274
11.5
Computed Tomography of the Chest in the ICU Patient
285
11.6
Computed Tomography of the Abdomen in the
ICU Patient
295
References
312
Contents xi
12
Biochemistry in
Intensive
Care
317
Paul Holloway
12.1
Introduction
317
12.2
Role in Diagnosis
317
12.3
The Role of the Chemical Pathologist/Clinical Scientist
322
12.4
Specific Clinical Areas
323
References
345
13
Haematology in Intensive Care
355
Lesley Kay
13.1
Introduction
355
13.2
Haematological Aspects of the 1CU Patient
355
13.3
Haemostasis
356
13.4
Haemostatic Problems in ICU Patients
357
13.5
Thromboelastography
359
13.6
Drug-induced Bleeding and how to Prevent it
360
13.7
Acquired Inhibitors of Coagulation
361
13.8
Anaemia on the ICU Not Due to Bleeding
362
13.9
Platelets, Thrombosis and how to Avoid it
364
13.10
Other Aspects of Venous Thrombosis on the ICU
368
13.11
Clinical Case
369
References
371
14
Peri-Opera
t
ive
Intensive Care Medicine
375
S.
Ramarli
Moonesinghe and Michael G.
Mythen
14.1
Surgery and Resources: A Global Health Problem
375
14.2
The High-Risk Surgical Population
376
14.3
The High-Risk Surgical Patient
377
14.4
Peri-Operative Monitoring and Management of
High-Risk Surgical Patients
383
14.5
The Multi-Modal Approach to Peri-Operative Care
392
14.6
Conclusion
392
References
393
xii Contents
15 Post-Operative Intensive
Care
403
Umeer Waheed and Mark G.
A. Palazzo
16
15.1
Introduction
403
15.2
Stress Response to Surgery
404
15.3
Analgesia and Sedation
408
15.4
Post-Operative Respiratory Management
417
15.5
Sepsis and the Systemic Inflammatory Response
Syndrome
420
15.6
Clinical Case
423
References
426
Sepsis
431
Richard
Stumpfte
16.1
Introduction
431
16.2
Pathophysiology
433
16.3
Treatment
439
16.4
Past and Future
449
References
450
17
Airway Management in Intensive Care
457
Virinder S.
Sidhu
17.1
Introduction
457
17.2
Prediction of Airway Difficulty
457
17.3
Conduct of Endotracheal Intubation
459
17.4
Induction of Anaesthesia and Choice of Drugs
461
17.5
Complications of Endotracheal Intubation
462
17.6
Unanticipated Failed Intubation
462
17.7
Can t
Intubate,
Can t Ventilate (CICV) Scenario
464
17.8
Anticipated Difficult Intubation
468
17.9
Special Consideration
—
The Narrowed Airway
469
17.10
Extubation
472
17.11
Tracheostomy
472
17.12
Non-Invasive Ventilation
(NIV)
482
17.13
Lung Isolation Techniques
482
17.14
Clinical Case
483
References
484
Contents xiii
18 Neurocritical
Care
491
Nicholas
Hirsch, Christopher Taylor and Martin Smith
18.1
Introduction
491
18.2
Traumatic Brain Injury
491
18.3
Cerebral Haemorrhage
500
18.4
Ischaemic Stroke
504
18.5
Management of Spinal Cord Injury
506
18.6
Status Epilepticus
508
18.7
Neuromuscular Diseases in the ICU
509
18.8
Clinical Case
514
References
515
19
Cardiopulmonary Intensive Care
519
Marins
Gota,
Allen Bashour and Michael O Connor
19.1
Introduction
519
19.2
The Initial Post-Operative Period
520
19.3
Neurological Complications
531
19.4
Respiratory Management and Complications
532
19.5
Gastrointestinal Complications
537
19.6
Acute Kidney Dysfunction
538
19.7
Heart and Lung Transplantation
539
19.8
Ventricular Assist Devices
542
References
544
20
Respiratory Intensive Care
551
Sarah L. Stirling and Mark
].
D. Griffiths
20.1
Acute Respiratory Failure
551
20.2
Post-Operative Respiratory Failure
555
20.3
Pneumonia
561
20.4
Specific Lung Diseases
568
20.5
Investigations
580
20.6
Conclusions
584
20.7
Clinical Case
584
References
587
xiv
Contents
21
Vascular Intensive Care
595
Susan Jain and Carlos M. H.
Gómez
21.1
Introduction
595
21.2
Physiological Impact of Major Vascular Surgery
and Post Operative Complications
598
21.3
Peri-Operative and Post-Operative Complications
600
21.4
Endovascular Repair
608
21.5
Spinal Cord Protection
612
21.6
Monitoring Limb Ischaemia
616
References
617
22
Liver Intensive Care
625
Julia Wendon and Patrick Ward
22
A Definition and Introduction
625
22.2
Acute Liver Failure
625
22.3
Critically 111 Cirrhotic
(CIC)
629
22.4
Variceal Bleeding
633
22.5
Hepatic Encephalopathy
635
22.6
Alcoholic Hepatitis
636
22.7
Elective Surgery
637
22.8
Prognostication
637
22.9
Liver Transplantation
639
References
640
23
Acute Kidney Injury in Intensive Care
647
Shaikh A. Nurmohamed, Marc G. Vervloet
and
A. B. Johan
Groeneveld
23.1
Defining Acute Renal Failure (ARF)
647
23.2
Pathogenesis and Prevention of Acute Renal Failure
649
23.3
Contrast-Induced Nephropathy
652
23.4
Renal Replacement Therapy
656
23.5
Non-Renal Indications for Continuous Renal
Replacement Therapy
664
23.6
Practical Issues
668
23.7
Future Trends: Renal Cell Therapy and the
Bioartificial Kidney
672
Contents xv
23.8
Prognosis
674
23.9
Clinical Case
675
References
675
24
Obstetrics Problems in Intensive Care
687
Surbi Malhotra
24.1
Introduction
687
24.2
Physiological Changes of Pregnancy
687
24.3
Major Obstetric Haemorrhage
690
24.4
Cardiac Disease in Pregnancy
693
24.5
Asthma
704
24.6
Amniotic
Fluid Embolism
705
References
706
25
Paediatric Intensive Care
711
Simon Nadel
25.1
Principles of Paediatric Intensive Care
711
25.2
Neonatal Sepsis
712
25.3
Advanced
Ventilátory
Techniques in Infants and Children
718
25.4
Diagnosis and Management of Meningococcal Disease
in Children
722
25.5
Congenital Heart Disease
738
25.6
Paediatric Trauma
743
25.7
The Terminally 111 Child on the PICU
750
25.8
Ethical Considerations
754
References
759
26
Trauma Intensive Care
765
Peter J. Shirley
26.1
Introduction
765
26.2
Initial Management
766
26.3
Acute Fluid Resuscitation
767
26.4
Clearance of the Cervical Spine
769
26.5
Timing of Fracture Fixation and Surgery (Damage Control)
770
26.6
Admission to the ICU
770
26.7
Respiratory Support and Ventilation Strategies
771
xvi Contents
26.8
Cardiovascular
Support 773
26.9
Traumatic
Brain Injury
775
26.10
Chest Trauma
776
26.11
Extremity Trauma
778
26.12
Abdominal Compartment Syndrome
778
26.13
Pelvic Trauma
779
26.14
Other Considerations
780
26.15
Summary
781
26.16
Clinical Case
782
References
783
27
Intensive Care of Burns Patients
787
Lena
C. Andersson,
Hans C. Nettelblad and
Folke Sjoeberg
27.1
Introduction
787
27.2
Clinical Presentation of Burn Injuries and Management
Strategies
788
27.3
Initial Assessment of Injuries and Treatment
Principles
—
The Resuscitation (Initial 48-Hour) Phase
789
27.4
Further Clinical Assessment of Injuries and Treatment
Principles
793
27.5
Specific Assessment and Management of Burnt Areas
798
27.6
The Post-Resuscitation Period
803
27.7
Burns Treatment in Children
805
27.8
Electrical Burns and Lightning Strikes
806
References
807
28
Poisoning
813
David}. Watson
28.1
Introduction
813
28.2
Types of Poisoning
813
28.3
Diagnosis and Assessment
815
28.4
Principles of Management
817
28.5
Management of Specific Poisonings
828
References
868
Contents xvii
29 Transfer
of the Critically 111
873
Harriet Wordsworth
29.1
Introduction
873
29.2
Physiological Factors Important in Patient Transfer
873
29.3
General Principles
876
References
890
30
Ethics in Critical Care
893
Simon
Munk
and Andrew
Hârtie
ЗОЛ
Introduction
893
30.2
Ethical Principles
894
30.3
Practical Aspects
898
30.4
Conclusion
899
References
899
31
Leadership and Management in Critical Care
901
Andrew R. Webb
31.1
Introduction
901
31.2
Leading
902
31.3
Managing
905
31.4
Illustrative Case: Change Leadership in Action
916
References
917
32
Evidence-Based Intensive Care
921
Sunti
Grover
and Carlos M. H.
Gómez
32.1
Corticosteroids
921
32.2
Activated Protein
С
922
32.3
Insulin
922
32.4
Albumin
923
32.5
Pulmonary Artery Catheterisation
924
32.6
Selective Digestive Decontamination
925
References
926
Index
933
Clinicai
Intensive
Care Medicine
Intensive care
patients are the most critically ill in any hospital and they are a
patient group that utilises a disproportionate amount of medical resources.
Intensive care medicine, which has been around for about
40
years, is a
relatively recent but globally expanding specialty due to a growing geriatric
population placing increasing demand on the healthcare system.
The older generation of intensivists are approaching retirement. The middle
generation were trained in various medical specialties and have subsequently
subspecialised in intensive care. These doctors now lead the way in clinical
practice, research, management and training. On the other hand, the younger
generation of intensivists includes an ever-increasing number of doctors who,
for the first time, enjoy a structured training program with clinical rotations,
courses and exam qualifications.
Written by outstanding specialist practitioners who are also internationally
acclaimed authors from the UK, Europe and North America, this is an
authoritative guide to practical intensive care medicine. The clinical contents
of the book share a practical and educational common thread, with each
chapter addressing pertinent clinical challenges comprehensively. This
invaluable book is specially targeted at medical students, trainees in intensive
care medicine and other acute specialties, consultants wishing to remain up
to date on all branches of this vast specialty and other allied professionals
practicing in intensive
care
including nurses and physiotherapists.
Carlos
M H
Gómez
is a Consultant and Honorary Senior Lecturer
in Intensive Care Medicine and Anaesthesia at St Mary s and
Hammersmith Hospitals, Imperial College London. He is also
Clinical Director of Intensive Care at The
Harîey
Street Clinic.
Having trained in Valencia, Barcelona, London and Cleveland,
his clinical interests include tracheostomies, cardio-pulmonary
intensive care, the inflammatory response and acute
renai
failure (MD Thesis), cardiovascular anaesthesia and difficult
ventilation and weaning. He lives in London with
fus
three hoys
but often escapes to his beloved Mediterranean He is an amateur
sportsman and keen sports enthusiast-
|
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| id | DE-604.BV040312130 |
| illustrated | Illustrated |
| indexdate | 2024-07-10T00:21:23Z |
| institution | BVB |
| isbn | 1848163886 9781848163881 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-025166898 |
| oclc_num | 802658486 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR |
| owner_facet | DE-355 DE-BY-UBR |
| physical | XXXVI, 943 S. Ill., graph. Darst. |
| publishDate | 2015 |
| publishDateSearch | 2015 |
| publishDateSort | 2015 |
| publisher | Imperial College Press |
| record_format | marc |
| series | Introductory series in medicine |
| series2 | Introductory series in medicine |
| spelling | Clinical intensive care medicine Ed. Carlos M. H. Gomez London Imperial College Press 2015 XXXVI, 943 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Introductory series in medicine 1 Intensivmedizin (DE-588)4027263-1 gnd rswk-swf Intensivmedizin (DE-588)4027263-1 s DE-604 Gomez, Carlos M. H. Sonstige oth Erscheint auch als Online-Ausgabe 978-1-84816-389-8 Introductory series in medicine 1 (DE-604)BV040312110 1 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025166898&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025166898&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Clinical intensive care medicine Introductory series in medicine Intensivmedizin (DE-588)4027263-1 gnd |
| subject_GND | (DE-588)4027263-1 |
| title | Clinical intensive care medicine |
| title_auth | Clinical intensive care medicine |
| title_exact_search | Clinical intensive care medicine |
| title_full | Clinical intensive care medicine Ed. Carlos M. H. Gomez |
| title_fullStr | Clinical intensive care medicine Ed. Carlos M. H. Gomez |
| title_full_unstemmed | Clinical intensive care medicine Ed. Carlos M. H. Gomez |
| title_short | Clinical intensive care medicine |
| title_sort | clinical intensive care medicine |
| topic | Intensivmedizin (DE-588)4027263-1 gnd |
| topic_facet | Intensivmedizin |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025166898&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025166898&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV040312110 |
| work_keys_str_mv | AT gomezcarlosmh clinicalintensivecaremedicine |